Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $301.20 / $410.15	Professional		$216.96	$301.20	$410.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $812.63 / $812.63	Facility		$812.63	$812.63	$812.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.69 / $413.34 / $746.24	Professional		$271.69	$413.34	$746.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $346.14 / $417.96 / $538.16	Professional		$346.14	$417.96	$538.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.97 / $355.84 / $488.40	Professional		$254.97	$355.84	$488.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $436.08 / $593.16	Professional		$316.80	$436.08	$593.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $299.25 / $1,402.00 / $3,725.00	Professional		$299.25	$1,402.00	$3,725.00